Immediate versus staged revascularisation of non-culprit arteries in patients with acute coronary syndrome: a systematic review and meta-analysis

P A Vriesendorp, J M Wilschut, R Diletti, J Daemen, I Kardys, F Zijlstra, N M Van Mieghem, J Bennett, G Esposito, M Sabate, W K den Dekker*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

3 Citations (Scopus)
17 Downloads (Pure)

Abstract

Although there is robust evidence that revascularisation of non-culprit vessels should be pursued in patients presenting with an acute coronary syndrome (ACS) and multivessel coronary artery disease (MVD), the optimal timing of complete revascularisation remains disputed. In this systematic review and meta-analysis our results suggest that outcomes are comparable for immediate and staged complete revascularisation in patients with ACS and MVD. However, evidence from randomised controlled trials remains scarce and cautious interpretation of these results is recommended. More non-biased evidence is necessary to aid future decision making on the optimal timing of complete revascularisation.

Original languageEnglish
Pages (from-to)449-456
Number of pages8
JournalNetherlands Heart Journal
Volume30
Issue number10
DOIs
Publication statusPublished - Oct 2022

Bibliographical note

Publisher Copyright: © 2022, The Author(s).

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